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Colovesical Fistulae: The Varying Aetiologies
The most common presenting symptoms of colovesical fistulae (CVF) are pneumaturia and fecaluria. The most important aspect remains not only to investigate the aetiology, and the degree of both severity and complexity, but also the subsequent influence of this on overall management. In a younger popu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649672/ https://www.ncbi.nlm.nih.gov/pubmed/34900497 http://dx.doi.org/10.7759/cureus.20025 |
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author | Zafar, Mansoor Lee, Sara Tieger, Serena Sacre, William Whitehead, Mark |
author_facet | Zafar, Mansoor Lee, Sara Tieger, Serena Sacre, William Whitehead, Mark |
author_sort | Zafar, Mansoor |
collection | PubMed |
description | The most common presenting symptoms of colovesical fistulae (CVF) are pneumaturia and fecaluria. The most important aspect remains not only to investigate the aetiology, and the degree of both severity and complexity, but also the subsequent influence of this on overall management. In a younger population, management usually consists of curative surgery. However, this may not be possible in older patients where surgical candidacy is a genuine concern and a clinical challenge arises relating to pursuing a conservative strategy. We attempted to briefly outline how two patients were managed with a similar non-surgical approach due to frailty. These cases attempt to highlight the importance of multi-disciplinary specialty input, with a view to optimising patient care. |
format | Online Article Text |
id | pubmed-8649672 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-86496722021-12-10 Colovesical Fistulae: The Varying Aetiologies Zafar, Mansoor Lee, Sara Tieger, Serena Sacre, William Whitehead, Mark Cureus Internal Medicine The most common presenting symptoms of colovesical fistulae (CVF) are pneumaturia and fecaluria. The most important aspect remains not only to investigate the aetiology, and the degree of both severity and complexity, but also the subsequent influence of this on overall management. In a younger population, management usually consists of curative surgery. However, this may not be possible in older patients where surgical candidacy is a genuine concern and a clinical challenge arises relating to pursuing a conservative strategy. We attempted to briefly outline how two patients were managed with a similar non-surgical approach due to frailty. These cases attempt to highlight the importance of multi-disciplinary specialty input, with a view to optimising patient care. Cureus 2021-11-29 /pmc/articles/PMC8649672/ /pubmed/34900497 http://dx.doi.org/10.7759/cureus.20025 Text en Copyright © 2021, Zafar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Zafar, Mansoor Lee, Sara Tieger, Serena Sacre, William Whitehead, Mark Colovesical Fistulae: The Varying Aetiologies |
title | Colovesical Fistulae: The Varying Aetiologies |
title_full | Colovesical Fistulae: The Varying Aetiologies |
title_fullStr | Colovesical Fistulae: The Varying Aetiologies |
title_full_unstemmed | Colovesical Fistulae: The Varying Aetiologies |
title_short | Colovesical Fistulae: The Varying Aetiologies |
title_sort | colovesical fistulae: the varying aetiologies |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649672/ https://www.ncbi.nlm.nih.gov/pubmed/34900497 http://dx.doi.org/10.7759/cureus.20025 |
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